Individual
JACLYN F. KOZIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 E ONTARIO ST STE 200, CHICAGO, IL 60611-3284
(312) 694-7000
(312) 926-6274
Mailing address
211 E ONTARIO ST STE 200, CHICAGO, IL 60611-3284
(312) 694-7000
(312) 926-6274
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008587
IL
363A00000X
Physician Assistant
10002865A
IN
Other
Enumeration date
11/08/2019
Last updated
05/23/2022
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